Individual
MADISON KALEI CUTLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
1624 N 200 E STE 160, LOGAN, UT 84341-3175
(435) 750-5599
Mailing address
1624 N 200 E STE 160, LOGAN, UT 84341-3175
(435) 750-5599
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
14063220-8906
UT
363A00000X
Physician Assistant
Primary
14063220-1206
UT
Other
Enumeration date
08/22/2023
Last updated
08/27/2025
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